A Social Media-Based Diabetes Intervention for Low-Income Mandarin-Speaking Chinese Immigrants in the United States: Feasibility Study.
JMIR Form Res
; 6(5): e37737, 2022 May 11.
Article
em En
| MEDLINE
| ID: mdl-35544298
ABSTRACT
BACKGROUND:
Chinese immigrants bear a high diabetes burden and face significant barriers to accessing diabetes self-management education (DSME) and counseling programs.OBJECTIVE:
The goal of this study was to examine the feasibility and acceptability and to pilot test the potential efficacy of a social media-based DSME intervention among low-income Chinese immigrants with type 2 diabetes (T2D) in New York City.METHODS:
This was a single group pretest and posttest study in 30 Chinese immigrants with T2D. The intervention included 24 culturally and linguistically tailored DSME videos, focusing on diabetes education and behavioral counseling techniques. Over 12 weeks, participants received 2 brief videos each week via WeChat, a free social media app popular among Chinese immigrants. Primary outcomes included the feasibility and acceptability of the intervention. Feasibility was evaluated by recruitment processes, retention rates, and the video watch rate. Acceptability was assessed via a satisfaction survey at 3 months. Secondary outcomes, that is, hemoglobin A1c (HbA1c), self-efficacy, dietary intake, and physical activity, were measured at baseline, 3 months, and 6 months. Descriptive statistics and paired 2-sided t tests were used to summarize the baseline characteristics and changes before and after the intervention.RESULTS:
The sample population (N=30) consisted of mostly females (21/30, 70%) who were married (19/30, 63%), with limited English proficiency (30/30, 100%), and the mean age was 61 (SD 7) years. Most reported an annual household income ofCONCLUSIONS:
This pilot study demonstrated that a social media-based DSME intervention is feasible, acceptable, and potentially efficacious in a low-income Chinese immigrant population with T2D. Future studies need to examine the efficacy in an adequately powered clinical trial.
WeChat; access to care; counseling; diabetes; diabetes education; digital health; disease management; education video; feasibility; health education; health equity; health intervention; health video; immigrant health; immigrant population; low income; messaging app; migrant; minority; mobile health; mobile phone; patient education; pilot study; self management; social media
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
11_ODS3_cobertura_universal
/
1_ASSA2030
Problema de saúde:
11_delivery_arrangements
/
1_desigualdade_iniquidade
Tipo de estudo:
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Idioma:
En
Revista:
JMIR Form Res
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos